Classic situation – a troponin has been ordered on a patient who hasn’t really got a clear cut story for an acute coronary syndrome, and the number comes back high. There’s the group who say it should have never been ordered, and then there’s the group who say how lucky it was that someone did – either way, it now has to be dealt with.
It’s important to note that although troponins are useful for diagnosing coronary ischaemia (along with the ECG and a good history), they go up in a range of other conditions. This excellent article from the ESC goes through the some of these other reasons, and how to go about dealing with troponins in those situations.
Have a flip through the full text for free over here.